NPI | 1538660428 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM C-10834) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ LCSW-17913) |
1041C0700X Social Worker Clinical (Licence: CA LCSW-96025) | |
Enumeration Date | 2018-02-26 |
Last Update Date | 2021-05-07 |